Provider Demographics
NPI:1396756284
Name:SHROFF, PAULOMI SAHIR (MD)
Entity type:Individual
Prefix:MRS
First Name:PAULOMI
Middle Name:SAHIR
Last Name:SHROFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:702 CANTON RD NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7271
Mailing Address - Country:US
Mailing Address - Phone:770-428-4486
Mailing Address - Fax:770-425-6008
Practice Address - Street 1:1790 MULKEY RD
Practice Address - Street 2:SUITE 9-C
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-1122
Practice Address - Country:US
Practice Address - Phone:770-941-3515
Practice Address - Fax:772-941-3490
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA056483208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery